NPI 1376826693

Carol a Jackson

Practitioner School Psychologist Taos, NM

Practice location

Address: 110 Paseo del Canon W, Taos, NM 87571-6743
Phone: (575) 779-6138

Registered specialties

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 090906 (NM)

Other Psychologist providers in New Mexico →

Registry record

NPI: 1376826693
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2011
Record last updated: 22 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.